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首页> 外文期刊>Surgical Endoscopy >Endoscopic treatment of benign gastrointestinal anastomotic strictures using argon plasma coagulation in combination with diathermy.
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Endoscopic treatment of benign gastrointestinal anastomotic strictures using argon plasma coagulation in combination with diathermy.

机译：内窥镜治疗结合氩气血浆凝结和透热治疗良性胃肠道吻合口狭窄。

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摘要

Background: Initially, treatment for anastomotic strictures was surgical. Currently. however, endoscopic techniques are preferred. This study aimed to investigate the efficiency and safety of endoscopic treatment using argon plasma coagulation in combination with diathermy. Methods: From 1995 to 2000, 49 patients with postsurgical anastomotic strictures of the esophagus or colon were referred for endoscopic treatment. In all cases, radiologic and endoscopic examination showed membranous or short strictures (diameter, 3-8 mm). Under direct endoscopic control, the scar tissue at the anastomotic line was incised radially with a polypectomy snare. The scar tissue between the incisions then was reduced carefully by argon plasma coagulation. Results: All 49 patients were treated successfully with this combined endoscopic technique. Only for four patients was more than one endoscopic session (mean, 3.5; range, 2-6) needed to guarantee long-term success. No complications were encountered. Conclusions: Endoscopic argon plasma coagulation in combination with diathermy is a safe and effective technique for the treatment of short postsurgical gastrointestinal anastomotic strictures.
机译：背景：最初，吻合口狭窄的治疗是外科手术。目前。然而，内镜技术是优选的。这项研究的目的是探讨使用氩等离子体凝结结合透热疗法进行内镜治疗的效率和安全性。方法：1995年至2000年，对49例食管或结肠吻合口术后狭窄患者进行内镜治疗。在所有情况下，放射学和内窥镜检查均显示出膜状或短狭窄（直径3-8毫米）。在直接的内窥镜控制下，用息肉切除小刀对吻合线处的瘢痕组织进行放射状切割。然后通过氩等离子体凝结小心地减少切口之间的疤痕组织。结果：全部49例患者均接受了这种联合内镜技术的成功治疗。只有四名患者需要多于一次内镜检查（平均3.5;范围2-6）来保证长期成功。没有遇到并发症。结论：内镜下氩气血浆凝结结合透热疗法是治疗短时间胃肠道吻合口狭窄的一种安全有效的技术。

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